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8 13-780-0020 <br /> City of Zephyrhilis Fire <br /> Permit Application Fax-813-780-0021 <br /> Date Received <br /> -- Phone Contact for Permit �.,Y'} qy z ( q Q3 <br /> Owner's Name „� _ " `"T �- -• ° <br /> � G � Owner's Phone Number � �� �--� <br /> Owner's Address p <br /> Fee Simple Titleholder Name � � � <br /> Fee Simple Titleholder Address Titleholder Phone Number ��� � i <br /> � _J <br /> , _. . ..-- . . -_ <br /> Job Address P�� � ° � ` �°_ ' _ - .;._._, - <br /> Sub Diwsion � �� Lat # � <br /> - - Parcel # <br /> � Bio-Hazard Waste Storage - ANNUAL ` � � ' -" ' `° - �� - <br /> a � Hazardous Material (Tier II or RQ Faciliry) ANNUAL <br /> Comm Exhausi Kitchen Hood/Duct <br /> a Hood Installation <br /> Controlled Burn � <br /> � Emer en LP/Natural Gas-Instaliation <br /> 9 �y Generator � 30 kw � <br /> a Emargency Generator> 30 kw i LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenanca -A � P�aces ofAssembly-ANNUAL <br /> U AL � try emi RECreational Burn <br /> t er <br /> Sprinkler � ❑ <br /> Fire Alarm � � Sparklers � �1 <br /> � � � Spnnkler System Installations I �� l <br /> Hood Cleaning ❑ � � � � ❑ { �, <br /> ❑ Standpipes (Sprinkler Sys) '�(� <br /> Hood Suppression � � � � ❑ � <br /> a Torch Roofing/Tar Kettle <br /> Fire Aiarm Instai�ation � <br /> � Fire Pumps Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application- ANNUAL <br /> � Fuei Tanks Valuation of Project <br /> Q Other• <br /> •- .:_ .. � <br /> _.. ._ <br /> ontractor -- -- _ - _ _ _ __�.,.,- .� <br /> Signature Company -- -�- ���- � � � �_ - - <br /> Aadress 3531 �i }e� Registered Y/(�J Fee Current Y/ N <br /> ELECTRICIAN License # q 3 g i2 z <br /> Signature Company —"—' <br /> Address Registered �� Fee Current Y/ N <br /> PLUMBER �icense # <br /> S�gnature Company <br /> Address — � Registered Y/ N Fee Current <br /> � Y/N <br /> MECHANICAL License # <br /> Signature Company <br /> Address Registered Y/ N Fee Current <br /> Y/N <br /> vTHER License # <br /> � <br /> S�gr,ature Company <br /> Address Registered Y/ N Fee Current Y/ N <br /> CirecUOns: - ' - LiCense it <br /> Fill out application cqmpietely _ - _ ._ .,. _. : , _ . _ <br /> Owner 8� Contractor sign back of application, notarized (Or, copy of signed conirac[ wi;h owner) <br /> If over �2500, a Notice of Commencement is reGuired (Mechanical work over $5U00) <br /> Supp�y ti,yo �2� sets oF drawings with applicabie documentation <br /> Allow 10-14 days for review after submittal date. Parcei #- obta?ned from Property Tax Notice (http:dappraiser.pascogov com) <br />